Active NPI
Elizabeth Mienza
- Neurology Physical Therapist
- Baltimore, MD
National Provider Identifier
1821839267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- Practice address
- 1576 Merritt Blvd
Baltimore, MD 21222-2132 - Phone
- (410) 650-2145
- NPI assigned
- May 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | Primary |
Addresses
Primary practice location
1576 Merritt Blvd
Baltimore, MD 21222-2132
Mailing address
920 S Decker Ave
Baltimore, MD 21224-4939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7501 Osler Dr
Suite 301
Towson, MD 21204-7744
Phone (410) 337-1349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Rehabilitation Medicine, LLC | Neurology | Current | Accepting new patients |
Locations
7501 Osler Dr
Ste 301
Towson, MD 21204
Phone (410) 337-1349
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Towson, MD
- NPI 1811578800
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1821839267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 S DECKER AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1576 MERRITT BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212222132",
"telephone_number": "410-650-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIENZA",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.